Active NPI
Darlene Lynn Butler, LPTA
- Physical Therapy Assistant
- Andover, OH
National Provider Identifier
1609092758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA.05389
- Practice address
- 5531 State Route 6
Andover, OH 44003 - Phone
- (440) 293-7278
- Fax
- (440) 293-8432
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA.05389 | OH | Primary |
Addresses
Primary practice location
5531 State Route 6
Andover, OH 44003
Mailing address
5531 State Route 6
Andover, OH 44003
Phone (440) 293-7278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA.05389 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609092758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5531 STATE ROUTE 6",
"city": "ANDOVER",
"state": "OH",
"postal_code": "44003",
"telephone_number": "440-293-7278",
"fax_number": "440-293-8432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5531 STATE ROUTE 6",
"city": "ANDOVER",
"state": "OH",
"postal_code": "44003",
"telephone_number": "440-293-7278",
"fax_number": "440-293-8432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "DARLENE",
"middle_name": "LYNN",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA.05389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Andover, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.